MEDICARE: VARGA FAMILY CHIROPRACTIC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	950E019860	MI
2	111N00000X	Chiropractor	950E021250	MI

General Provider Information

NPI Number	:	1174725287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARGA FAMILY CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	35000 DIVISION RD
Second Line	:	SUITE 7
City	:	RICHMOND
State	:	MI
Zip	:	48062-1566
Country	:	US
Telephone Number	:	586-727-8900
Fax Number	:	586-727-3300

Provider Business Practice Location Address
First Line	:	35000 DIVISION RD
Second Line	:	SUITE 7
City	:	RICHMOND
State	:	MI
Zip	:	48062-1566
Country	:	US
Telephone Number	:	586-727-8900
Fax Number	:	586-727-3300

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. LAURA JEAN VARGA
Credential	:	D.C.
Telephone Number	:	586-727-8900

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	08/21/2008

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